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BJA Advance Access published online on April 2, 2004
British Journal of Anaesthesia, doi:10.1093/bja/aeh152
© 2004 by The Board of Management and Trustees of the British Journal of Anaesthesia
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Accepted January 29, 2004

Case Reports

Spinal epidural abscess--a rare complication after epidural analgesia for labour and delivery

T. H. Schroeder 1*, W. A. Krueger 2, E. Neeser 3, U. Hahn 4, K. Unertl 2

1 Department of Anaesthesiology and Critical Care Medicine, Tübingen University Hospital, Tübingen, Germany; Department of Anaesthesiology and Critical Care Medicine, Tübingen University Hospital, Hoppe-Seyler-Strasse 3, D-72076 Tübingen, Germany
2 Department of Anaesthesiology and Critical Care Medicine, Tübingen University Hospital, Tübingen, Germany
3 Department of Gynecology and Obstetrics, Tübingen University Hospital, Tübingen, Germany
4 Department of Neuroradiology, Tübingen University Hospital, Tübingen, Germany

* To whom correspondence should be addressed. E-mail: torsten.schroeder{at}uni-tuebingen.de.


  Abstract

We report a case of spinal epidural abscess formation after short-term epidural catheter placement for analgesia during labour and delivery. The patient was previously healthy and did not have any predisposing factors. Increasing back pain was the only complaint. A contrast-enhanced CT study on day 5 was inconclusive. Magnetic resonance imaging was performed and showed a large triangular-shaped abscess with adjacent inflammation of the paravertebral muscles. One day later, the patient developed a sensory deficit in the left lower limb. The neurological deficit completely resolved after surgical decompression and debridement, which was followed by antibiotic treatment.

Keywords: Keywords: anaesthesia, obstetric; anaesthetic techniques, epidural; complications, abscess


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